• Expanding the Scope of Quality Measurement in Surgery to Include Non-Operative Care: Results from the ACS NSQIP Emergency General Surgery Pilot (November 2017)

    Category: Acute Care Surgery, Infection & Sepsis, Surgical Critical Care
    Michael W. Wandling, MD, Clifford Y. Ko, MD, Paul E. Bankey, MD, PhD, Chris Cribari, MD, H. Gill Cryer, MD, PhD, Jose J. Diaz, MD, Therese M. Duane, MD, S. Morad Hameed, MD, Matthew M. Hutter, MD, Michael H. Metzler, III, MD, Justin L. Regner, MD, Patrick M. Reilly, MD, H. David Reines, MD, Jason L. Sperry, MD, Kristan L. Staudenmayer, MD, Garth H. Utter, MD, Marie L. Crandall, MD, Karl Y. Bilimoria, MD, and Avery B. Nathens, MD, PhD
    CME 1 CME Credit(s)

    Learning Objectives:

    To demonstrate that the infrastructure of existing surgical quality improvement programs can be used to (1) evaluate clinical outcomes for both the operative and non-operative management of surgical disease, (2) assess hospital performance on key surgical quality metrics for operative and non-operative treatment modalities, and (3) demonstrate the influence the addition of non-operative management can have on overall hospital-level performance rankings.

    Impact Statement:

    The results of this study illustrate the importance and the feasibility of expanding the scope of surgical quality assessment to include the non-operative management of surgical disease. However, establishing the importance and feasibility of non-operative surgical quality assessment is just the first step. Moving forward, non-operative care should be incorporated into surgical quality initiatives, such as clinical data registries and public reporting programs. The detailed clinical data collected for these initiatives will hold the information necessary to identify optimal practices in the non-operative management of surgical disease and ultimately improve the quality of care provided to surgical patients.

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    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education (CME) for physicians.

    AMA PRA Category 1 Credits™

    The American College of Surgeons designates this journal-based activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1 credit meets the requirements for Self-Assessment.

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